| Doctor Name: | MRS. CINDY DERRER LUCAS |
| NPI Number: | 1033397161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | L1122849 |
| Business Practice Address: | 270 Hoover Blvd Holland, MI - 494233719 |
| Business Phone Number: | 6163962972 |
| Business Fax Number: | |
| Mailing Address: | 7451 Sandyhill Dr, JENISON |
| State: | MI |
| Postal Code: | 494287774 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L1122849 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |